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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300394

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie RaymondPeters Sex Female

Date of Birth December 12, 1906 Place of Birth Port MaitlandCounty of Yarmouth

Name of Father Edwin S. Peters MAIDEN NAME of Mother Lalia Gullison

Residence of Father when child was born Port Maitland Present address of Father Halifax

Occupation of Father at Birth of child Merchant Place of birth of Father Port Maitland

Race white Name and present address of Physician in attendance at birth Dr. R.L. Blackadar

Signature of Applicant Edwin S. Peters Address of Applicant Halifax Date 17 November 1925

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie RaymondPeters

Born at Port Maitland in the County of Yarmouth

That Marjorie RaymondPeters Whose Birth is sought to be registered was

born at Port Maitland Yarmouth County on December 12, 1906

My knowledge of the fact and date of such Birth is based on the following Circumstances:

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